Care Manager Transition of Care (RN)

Centene Corporation•Remote-CA, CA

1d•$27 - $49•Hybrid

About The Position

Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective care. Completes medication review for pre-admission and post-discharge reconciliation. Works with the care management and coordination teams to identify transition support services. At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Requirements

Active RN license in the state of California
Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing
2 – 4 years of related experience
LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required

Nice To Haves

Candidates who reside in California
Able to work Pacific Time (PST) hours
Experience in case management, transitional care, care coordination, and discharge planning

Responsibilities

Evaluates the needs of the member by completing post discharge assessments for members transitioning from healthcare facilities
Evaluates medication and performs reconciliation between pre-admit and post-discharge medications
Develops a care/service plan and collaborates with discharge planners, providers, specialists, and interdisciplinary teams to support member transition and discharge needs
Assesses member current health status, resource needs, services, and treatment plans and provides appropriate interventions
Facilitates the transition into active care management based on member needs
Provides or facilitates education and resource materials to members, authorized caregivers, and providers to promote wellness activities to improve member overall quality of care
Facilitates services between Primary Care Physician (PCP), specialists, medical providers, and non-medical resources as necessary to meet the medical and socio economic needs of members
May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulations
Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
Other duties or responsibilities as assigned by people leader to meet business needs
Performs other duties as assigned
Complies with all policies and standards